Medical Credentialing

ABC Medical Credentialing Service

Apple Billing and Credentialing provide comprehensive medical credentialing for all healthcare providers who are eligible for credentialing with Medicare, Medicaid, or commercial insurance carriers. The health care provider will have a dedicated medical credentialing coordinator who will ensure that all necessary documentation is collected and processed in accordance with each payer. Medical credentialing enables healthcare providers to utilize the patient’s insurance to pay for medical services performed. Hence it is important for healthcare providers to credentialed with most payers depending upon the geographical area. Failing to medical credentials results in losing patients to other healthcare providers.

Here are the information needed

CAQH Proview
Medical license
DEA certificate
Malpractice insurance certificate
Board certifications
Updated CV with all educational and work history details
W9
PECOS
  

ABC’s Provider Credentialing Process

Credentialing Status

ABC's Credentialing approved timelines

Insurance

Timeframe

Medicare

7 days

Medicaid

22 days

Humana

24 days

BCBS

27 days

UHC

31 days

Cigna

37 days

Aetna

46 days

* These are the minimum number of days ABC took to credential a provider when the payer panel is open.

Note : We can’t assist with non-clinical emergencies or non-clinical payer credentialing.